了解影响个人护理工作者离开意图的因素:系统整合性审查
Britt O'Keefe1, Eva Yuen1,2,3, Briony Dow1,4,5
1School of Nursing and Midwifery, Deakin University, Geelong, Victoria, Australia.
The Gerontologist
|February 11, 2025
概括
个人护理工作者
科学领域:
- 老年学和医疗保健劳动力研究 研究劳动力研究
- 组织心理学和人力资源
背景情况:
- 全球人口结构的变化,包括人口老龄化和预期寿命的增加,正在加剧对老年护理服务的需求.
- 医疗保健行业面临着重大的劳动力挑战,特别是养老院的个人护理工作者 (PCW) 的高流动率和低保留率.
研究的目的:
- 系统地审查和综合影响个人护理工作者 (PCW) 离开养老院职位的意图的因素.
- 确定PCW周转率的关键驱动因素,为改善老年护理劳动力稳定性的战略提供信息.
主要方法:
- 从1997年到2024年的同行评审文献的综合性审查,遵循惠特莫尔和Knafl的方法和PRISMA指南.
- 在Business Source Complete,CINAHL Complete,Medline Complete,APA PsycINFO 和 EMBASE 中进行了全面的文献搜索.
- 使用混合方法评估工具对21篇文章 (报告了20项研究) 进行了独立选和质量评估.
主要成果:
- 确定了影响PCW离开意图的众多因素,分为个人,工作/组织和社会政治环境领域.
- 关键影响因素包括人口特征,工作满意度,健康,职业发展机会,工作场所条件,领导质量和赋权.
- 居民关系和更广泛的社会观念也在PCW离开工作的决定中发挥着作用.
结论:
- 调查结果为养老院经营者和政策制定者提供了可操作的见解,以制定旨在减少PCW营业额的有针对性的干预措施.
- 专注于PCW角色和组织实践的改革对于加强保留至关重要.
- 建议进行进一步的定性研究,以深入了解影响PCW就业意图的经验和感知.
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